Al-Hameed Fahad M, Al-Dorzi Hasan M, Abdelaal Mohamed A, Alaklabi Ali, Bakhsh Ebtisam, Alomi Yousef A, Al Baik Mohammad, Aldahan Salah, Schünemann Holger, Brozek Jan, Wiercioch Wojtek, Darzi Andrea J, Waziry Reem, Akl Elie A
Department of Intensive Care, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2016 Nov;37(11):1279-1293. doi: 10.15537/smj.2016.11.15268.
Venous thromboembolism (VTE) acquired during hospitalization is common, yet preventable by the proper implementation of thromboprophylaxis which remains to be underutilized worldwide. As a result of an initiative by the Saudi Ministry of Health to improve medical practices in the country, an expert panel led by the Saudi Association for Venous Thrombo Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society) with the methodological guidance of the McMaster University Guideline working group, produced this clinical practice guideline to assist healthcare providers in VTE prevention. The expert part panel issued ten recommendations addressing 10 prioritized questions in the following areas: thromboprophylaxis in acutely ill medical patients (Recommendations 1-5), thromboprophylaxis in critically ill medical patients (Recommendations 6-9), and thromboprophylaxis in chronically ill patients (Recommendation 10). The corresponding recommendations were generated following the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach.
住院期间获得性静脉血栓栓塞症(VTE)很常见,但通过正确实施血栓预防措施是可以预防的,而血栓预防措施在全球范围内仍未得到充分利用。由于沙特卫生部发起了一项改善该国医疗实践的倡议,由沙特静脉血栓栓塞协会(SAVTE;沙特胸科学会的一个分支机构)领导的一个专家小组在麦克马斯特大学指南工作组的方法学指导下,制定了本临床实践指南,以协助医疗服务提供者进行VTE预防。专家小组发布了十项建议,针对以下领域的10个优先问题:急性病内科患者的血栓预防(建议1-5)、危重病内科患者的血栓预防(建议6-9)以及慢性病患者的血栓预防(建议10)。相应的建议是按照GRADE(建议分级、评估、制定和评价)方法生成的。